LEE EDMONDS, M.D.
Pulmonary Disease Physician · COOPERSTOWN, NY
Individual Active NPI 1184680217
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 472 | 662 | $152,484 | $52,582 | $37,352 |
| 2023 | 737 | 1,128 | $190,739 | $70,275 | $52,682 |
| 2022 | 694 | 1,175 | $171,606 | $69,435 | $50,616 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 176 | $92 | $63 |
| 95810 | Sleep study in sleep lab (6 years or older) | 83 | $112 | $86 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 59 | $63 | $45 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 52 | $67 | $50 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 48 | $93 | $62 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 48 | $44 | $29 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 36 | $125 | $83 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 30 | $16 | $12 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 22 | $16 | $12 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 21 | $117 | $89 |
| 99451 | Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes | 13 | $33 | $25 |
| 94010 | Test to measure expiratory airflow and volume | 12 | $8 | $6 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 167652 | NY |
| Internal Medicine Physician | 207R00000X | 167652 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Pulmonary Disease Physician providers in New York
- NPI 1033550041
- NPI 1265723027
- NPI 1902856362
- NPI 1528120268
- NPI 1912963059
- NPI 1528057502
- NPI 1205892320
- NPI 1912053307
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.